Mobilizing Community Networks to Optimize Child Well-being
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 98
- 试验地点
- 2
- 主要终点
- Reduction in social isolation
研究概览
简要总结
Caregiver social isolation adversely impacts child health and developmental outcomes; it also contributes to suboptimal engagement in health care services and enrichment resources, which also elevate risk for poor outcomes in childhood. The proposed pilot intervention aims to reduce social isolation and promote engagement in health promoting enrichment and activities, by embedding a community health worker assisted forum in a community-driven mobile communications (using a platform supported by the company txtwire).
The investigators propose a two-arm, pilot study enrolling 100 parents of children age 0-5 years old who reside in the Roxbury, Dorchester, and Mattapan neighborhoods of Boston. Participants will be recruited from Boston Medical Center and community sites in Roxbury, Dorchester, and Mattapan. The investigators will use quality improvement methods to improve the utilization of the mobile communications shared through txtwire to build collective efficacy for children and social support and engagement that will optimize family resiliency and thereby promote child well-being, as well as, assess the acceptability of the intervention, and logistics of the field implementation to ultimately inform an appropriately powered RCT. Participants will receive compensation for participation at baseline and follow-up interviews.
The intent of this study is to support developement of mobile social communications to reduce social isolation.
详细描述
The investigators propose a two-arm, pilot study enrolling 100 parents of children age 0-5 years old who reside in the Dudley Square neighborhood of Boston. Participants will be recruited from Boston Medical Center and community sites in Dudley Square. After completing the baseline survey, 50% of participants will be randomized to receive access to a free mobile communications and a web-based informational platform supported by txtwire. A simple randomization technique will be used.
The investigators will engage a group of community residents (who are not study participants) in the process of designing the social network content for the txtwire site and features.
The investigators will use quality improvement methods to improve the utilization of the txtwire mobile communications to improve social support and engagement that will optimize family resiliency and thereby promote child well-being, as well as, assess the acceptability of the intervention, and logistics of the field implementation to ultimately inform an appropriately powered RCT.
Recruitment will take place at Boston Medical Center in the outpatient pediatric primary care clinic and at public, community sites in Dorchester, Roxbury and Mattapan. The investigators will have a trained research assistant approach and recruit parents who are presenting for well-child care visits. The locations will be selected to maximize convenience for the families. A trained research assistant, following this standard procedure will screen parents presenting with a child between the ages of 0 and 5 years old for a routine health care maintenance visit from the clinical waiting areas at BMC and from public community sites.
Participants will be approached by a trained research assistant who will share a 1-page flyer about the study (see attached) and ask if they would like to proceed with the eligibility screening. For patients who meet inclusion/exclusion criteria, formal consent and contact information will be obtained. In order to proceed with the interview parents must agree to a follow-up interview in 6-months via phone or in-person.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 64 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Must be a parent or primary caregiver for child five years or younger
- •Participant has a smart phone that is text message and web enabled
- •Participant resides in the Dorchester, Mattapan, or Roxbury neighborhoods of Boston, within the 02119, 02121, 02122, 02124, 02125, 02126 zip codes
- •Fluent in English language
- •Able to participate in English.
排除标准
- •Does not have a smart phone or the ability to navigate a mobile application
- •Participant does not reside Dorchester, Mattapan, or Roxbury neighborhoods of Boston, within the 02119, 02121, 02122, 02124, 02125, 02126 zip codes
- •Not identified as a parent or caregiver of a child age five years old or younger
- •Not identified as a parent or caregiver of a child age five years old or younger
研究组 & 干预措施
Project NOW
Participants in the intervention arm receive access to free mobile communications and a web-based informational platform supported by txtwire.
干预措施: Project NOW (Behavioral)
Control
Participants in the control arm do not receive access to the txtwire platform.
结局指标
主要结局
Reduction in social isolation
时间窗: 6 months
This will be measured by change in baseline to follow-up survey on measures of social isolation.
次要结局
- Decrease in parental stress(6 months)
- Increase in parental social support(6 months)
- increase in parental knowledge of and use of community resources for child enrichment and well-being(6 months)
研究者
Renee Boynton-Jarrett
BMC Attending Physician
Boston Medical Center